Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106E00000X | Assistant Behavior Analyst | ||
Y | 106S00000X | Behavior Technician |
NPI | 1124503099 |
---|---|
Provider Name | Ashlyn Ormonde |
First Address | Irvine, CA 92606-2417 |
Second Address | Tracy, CA 95376-7767 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2018 |
Last Update Date | 08/06/2021 |